Laserfiche WebLink
Nebraska Identification Number <br />9027386 <br />Federal Identification Number <br />Social Security Number <br />XXX -XX -1624 <br />Spouse's Social Security Number <br />Lien Serial Number <br />11273966 <br />Lien filed with <br />Date of Lien <br />03/27/2012 <br />Tax Category <br />01 <br />County <br />Hall <br />X Register of Deeds County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />GOLF USA <br />Name <br />SCOTT GALUSHA <br />Street Address <br />1004 DIERS AVE. STE. 230 <br />Street or Mailing Address <br />314 WAINWRIGHT <br />City State Zip Code <br />GRAND ISLAND NE 68803 <br />City State Zip Code <br />GRAND ISLAND NE. 68801 <br />Type of Action _ I <br />02/11/2013 MON 14:52 FAX 402 471 4429 UCC SECRETARY OF STATE <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. <br />TAX PERIODS <br />0 PARTIAL RELEASE. <br />TAX PERIODS <br />0 SUBORDINATION. <br />sign <br />here <br />Prepar Signatur <br />201 301128 <br />yyy <br />#Vbrsstrntu! State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />t+Vww.. V•r 4. +.n ♦. *av <br />Subordination <br />UCC Instrument Number <br />County Instrument Number <br />2010 8 2011 <br />The State Tax Lien is partially released as follows: UCC Instrument Number <br />County Instrument Number <br />The State Tax Lien is subordinated as follows. <br />Authorized Signature Title <br />Revenue Agent <br />Title <br />Senior Revenue Agent <br />PLEASE DO NOT WRITE IN THIS SPACE <br />UCC Instrument Number <br />County Instrument Number <br />Hall 2002 /003 <br />NE Sec of Stet. John A G. e - UCC <br />11 1 <br />9913708295 -2 Pas: <br />GALUSHA SCOTT <br />Filed: 02/11/2013 11:40 AM <br />99126894809 ). <br />201202741 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in <br />dete : tion of the termin- ' • , partial release, or subordination indicated above. <br />T09 <br />402 471 -6067 <br />Telephone Number <br />Date <br />4.232-68 Rev. 8.96 Supersedes 4 -232 .69 Rev. 10-95 <br />